Anitha Jagadish M.d, PA

NPI #1952538720 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1952538720
Entity Type: Organization
Organization Name: Anitha Jagadish M.d, PA
Primary Specialty: Pediatrics
Enumeration Date: Jun 18, 2009
Last Updated: Oct 14, 2011

Practice Location

Address: 2115 SE LENNARD RD
City: Port Saint Lucie
State: Florida
ZIP Code: 34952-4742
Phone: (772) 335-1812

Authorized Official

Name: DR. ANITHA JAGADISH, M.D
Title: PRESIDENT
Phone: (772) 335-1812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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